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ACCESSORIES ORDER FORM<br />
Please send Money Order or fill in Visa/MasterCard information and<br />
mail to the address below. Please DO NOT send cash or checks.<br />
Make Money Order payable to <strong>Midland</strong> <strong>Radio</strong> Corporation.<br />
Name:<br />
Address:<br />
City: ___________________ State: _____Zip Code: <br />
Tel: ____________________ Email:<br />
CC#: ___________________Type: __________Exp.:<br />
Qty Item Price Total<br />
AVP-1 $19.99<br />
AVP-H1 $49.99<br />
AVP-H2 $49.99<br />
AVP-H3 $39.99<br />
AVP-H4 $39.99<br />
AVP-H5 $39.99<br />
AVP-H7 $39.99<br />
AVP-H8 $39.99<br />
AVP-6 39.99<br />
TH1 $39.99<br />
TH2 $99.99<br />
TH3 $29.99<br />
TH4 $109.99<br />
Sub-Total<br />
<br />
Tax (MO, FL, WA only) <br />
S & H $14.95<br />
(Applies to Domestic U.S. only.<br />
For Hawaii, Alaska, and Puerto<br />
Rico S&H will be $36.25 for 1lb<br />
and $64.25 for 2lbs or more).<br />
Mail To:<br />
<strong>Midland</strong> <strong>Radio</strong> Corporation<br />
Consumer Dept.<br />
5900 Parretta Drive<br />
Kansas City, MO 64120<br />
----------------<br />
Or Call 816.241.8500.<br />
----------------<br />
To order online go to<br />
www.midlandusa.com<br />
Total<br />
$
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